WQ0041529_Application_20200306 (2)

Initial Review
INITIAL REVIEW
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
Is this a complete
application?* Complete App Date
r Yes r No 03/03/2020
Project Number* WQ0041529
Applicant/Permittee Daniel Y. Ng and Esther E. Bevers-Ng
Applicant/Permittee 123 Windrush Lane, Durham, NC, 27703
Address
Is the owner in BIMS?
r Yes r No
Owner Type
Facility Name
County
Fee Category
Single -Family Residence
Signature Authority
Individual
4579 Glenn Rd. SFR
Durham
Signature Authority Title
Signature Authority Email
Document Type (if
non -application)
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office Raleigh
CO Reviewer Erick Saunders: eads\egsaunders
Is the facility in BIMS?
r Yes r No
Fee Amount
60

Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notification
Comments for Kendall
Comments for RO
Comments for Reviewer
Comments for Applicant

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
........................................................................................................................................................................................................................................................................................................................................................................
Name * Scott Jones
Email Address*
[e-mail]
Project Information
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?
r Yes r Nor N/A
Permit Number WQ0041529
currently has project
Applicant\Permittee * Daniel Y. Ng and Esther Bevers-Ng
Phone Number*
919-859-0669
Applicant/Permittee 123 Windrush Lane, Durham, NC, 27703
Address*
Facility Name * 4579 Glenn Rd. SFR
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Electronic copy of the application package is attached. Paper copies have been submitted to DEQ.
Please attach all information required or requested for this submittal to be review here.
Application Formt Engineering Rans, Specifications, Calculations, Etc.)
Package - Ng (elec).pdf 133.03MB
upload only 1 RDF document. NLltiple docurrents must be corrbined into one RDF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper --polka*-ion is required,
be advised, applications accepted' far pre -review until both the paper and eIect-c-,i_ co1)ies nave been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (calcs, soils report, specs, etc.)
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
MallinE address:
❑iuision of Water Resources1 Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center 1 Aft: Nathaniel Thornburg, 91° Floor, Cfice #942W
----------------------------------------------------------- -----------------------------------------
Raleih, NC 27699-1617 512 N. Salisbury St.
Far questions or problems contact Tessa Monday [e-mail] or 919.707.3560.
* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 3/6/2020